North Valley Laboratory

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

NORTH VALLEY LABORATORY

Practice address

1000 Lincolin Rd Ste H
PMB 813
Sacramento, CA 95953

Phone

(530) 649-7945

NPI assigned

Aug 22, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Heldai Aguilar, CPT1

Title

Owner

Phone

(530) 649-7945

Specialties & licenses 2

Addresses

Other names 1

• North Valley Laboratory Other name

Electronic endpoints 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1724284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724284800000",
    "number": "1619700895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 LINCOLIN RD STE H",
            "address_2": "PMB 813",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "95953",
            "telephone_number": "530-649-7945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 LINCOLIN RD STE H",
            "address_2": "PMB 813",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "95953",
            "telephone_number": "530-649-7945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH VALLEY LABORATORY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-22",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-20",
        "status": "A",
        "authorized_official_last_name": "AGUILAR",
        "authorized_official_first_name": "HELDAI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "530-649-7945",
        "authorized_official_credential": "CPT1"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.yelp.com/biz/north-valley-mobile-phlebotomy-yuba-city",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "https://www.yelp.com/biz/north-valley-mobile-phlebotomy-yuba-city",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1000 Lincolin RD ste H",
            "address_2": "PMB 813",
            "city": "Sacramento",
            "state": "CA",
            "country_code": "US",
            "postal_code": "95953",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "North Valley Laboratory",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Angelica Dontrell Northcross-Jenkins
• Jasalynne Northcross

• Clinical Medical Laboratory in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Clinical Medical Laboratory in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.